Basta, Andrew W
Basta, Andrew W is an individual health care provider with primary practice located at 130 Myrtle Ave Unit G, Stamford CT 06902-3932. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Basta, Andrew W can be contacted via phone (973) 632-7971.Contact Information
Primary practice address
130 Myrtle Ave Unit G
Stamford CT 06902-3932
Phone: (973) 632-7971
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 009302 | Connecticut |
| Dental Providers / Dentist | 122300000X | 0511631 | New York |
Profile Details
| NPI number | 1265421325 |
|---|---|
| LBN Legal business name | Basta, Andrew W |
| Credentials | DENTIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 16th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265421325 | NPPES |
| Connecticut | Other | 009302 | STATE LICENSE |
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